Reactions to symptoms of mental disorder and help seeking in Sabah, Malaysia. (February 2018)

• Record Type: Journal Article
• Authors: Shoesmith, Wendy Diana; Borhanuddin, Awang Faisal Bin Awang; Yong Pau Lin, Pauline; Abdullah, Ahmad Faris; Nordin, Norhayati; Giridharan, Beena; Forman, Dawn; Fyfe, Sue
• Is Part Of: International journal of social psychiatry. Volume 64:Number 1(2018)
• Page Start: 49
• Page End: 55
• Publication Date: 2018-02
• Subjects: Pathways to care -- traditional healers -- spiritual models of psychiatric disorders -- qualitative research -- Malaysia; Social psychiatry -- Periodicals; 362.205
• DOI: 10.1177/0020764017739643
• Languages: English
• ISSNs: 0020-7640

Abstract

Background: A better understanding is needed about how people make decisions about help seeking. Materials: Focus group and individual interviews with patients, carers, healthcare staff, religious authorities, traditional healers and community members. Discussion: Four stages of help seeking were identified: (1) noticing symptoms and initial labelling, (2) collective decision-making, (3) spiritual diagnoses and treatment and (4) psychiatric diagnosis and treatment. Conclusion: Spiritual diagnoses have the advantage of being less stigmatising, giving meaning to symptoms, and were seen to offer hope of cure rather than just symptom control. Patients and carers need help to integrate different explanatory models into a meaningful whole.